Individual
MANDY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1430 TULANE AVE # 8509, NEW ORLEANS, LA 70112-2632
(504) 988-7517
(504) 988-2144
Mailing address
1430 TULANE AVE # 8509, NEW ORLEANS, LA 70112-2632
(504) 988-7517
(504) 988-2144
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8464
LA
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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